Main
For Technical Support and Customer Service, contact:
USA
Email and web addresses
Authorized European address
Table of Contents
1. Introduction and Intended Use 2. Warnings, Cautions, and Notes
3. Symbols 4. Getting Started
5. Setup
6. Connecting Additional Equipment
8. Operating Instructions
9. Alarms
10. Care and Maintenance
11. Diagnostics
12. Technical Specifications
13. Options and Accessories
Page
Page
Page
Chapter 1. Introduction and Intended Use
Page
Chapter 2. Warnings, Cautions, and Notes
Summary of Warnings, Cautions, and Notes
Warnings
Page
Page
Page
Cautions
Page
Page
Notes
Page
Page
Page
Page
Chapter 3. Symbols
3-2
Page
3-4
%
Page
Chapter 4. Getting Started
Unpacking
Unpacking Instructions
Inspection
List of Parts and Accessories
Repacking
Repacking Instructions
Ventilator Positioning
Backup Battery
Backup Battery Removal and Installation
Page
Page
Page
Page
Page
Page
Page
Page
Backup Battery Operation
Battery Capacity
Battery Charging
Warranty
Inspiratory Bacteria Filter Installation
Inspiratory Bacteria Filter Installation Instructions
4-18
Heated Expiratory Bacteria Filter Installation
Heated Expiratory Bacteria Filter Installation Instructions
Refer to Figure 4-20.
Page
4-20
Oxygen Source Connection
Oxygen Source Connection Instructions
Patient Circuit Flex Arm Installation
Chapter 5. Setup
Back Panel Connections and Controls
Figure 5-1: Back Panel
Page
Connecting AC Power Cord
Connecting AC Power Cord Instructions
Power On/Off
Turning the Ventilator On
Turning the Ventilator Off
Entering Diagnostic Mode
Entering Diagnostic Mode
User Configuration Screen
Date and Time
Setting Date and Time Format
Page
Altitude
Setting Altitude
Enabling/Disabling Tubing Compliance
Backup Battery
Extended Self Test (EST)
Chapter 6. Connecting Additional Equipment
Communication Interface
Connecting Serial Communications Devices
Connecting Remote Alarm Port
Connecting Humidifier
Page
Connecting the Patient Circuit
Page
Page
Page
Chapter 7. Operating Theory
Introduction
System Overview
Ventilator Breath Types
Volume Control Ventilation (VCV)
Pressure Control Ventilation (PCV)
Ventilation Modes Common to VCV and PCV
Assist Control Ventilation (A/C)
Synchronized Intermittent Mandatory Ventilation (SIMV)
Continuous Positive Airway Pressure (CPAP)
Pressure Support Ventilation (PSV)
Positive End Expiratory Pressure (PEEP)
Rise Time Setting
Patient Initiated Breath Triggering
Patient Leak Display
Ventilation Modes Common to NPPV
Spontaneous Ventilation Mode (Spont)
Spontaneous/Timed Ventilation Mode (Spont/T)
Emergency Modes of Ventilation
Apnea Ventilation
7-8
Safety Valve Open (SVO)
During SVO:
Parameters Used in Apnea Ventilation, Settings, and Alarm Limits
Chapter 8. Operating Instructions
Overview
Page
The Front Panel
8-4
Figure 8-3: Front Panel Symbol Version
Alarm Status Indicators
Alarm Status Indicators
8-6
Power Status Indicators
Power Status Indicators
Power Status Indicators (Continued)
Front Panel Keys
Front Panel Keys (Continued)
8-10
Front Panel Level Controls
The front panel level controls enable you to adjust ventilator settings, brightness, and volume.
Front Panel Keys (Continued)
Front Panel Controls
Ventilator Screens
Common Ventilator Screen Components
Page
Page
Settings Screens
Selecting Settings
Selecting Alarm Limits
Page
Page
Selecting Waveforms (VCV only)
Selecting Adult/Pediatric Buttons
Selecting the Inspiratory Trigger (I-Trigger)
Settings with Calculated Values
Rate and Apnea Rate Settings Relationship
Changing IPAP or EPAP in NPPV
Selecting a New Ventilation Breath Type (VCV, PCV, or NPPV)
Page
Page
8-26
Selecting the Mode (A/C-SIMV-CPAP or Spont-Spont/T)
SummaryVentilation Modes and Availability
Apnea Ventilation
8-28
Patient Data Screen
Patient Data Definitions: Range, Units & Resolution
Monitor Screen
NOTE: Pt. Leak only appears on Patient Data block on Settings screen.
Patient Data Definitions: Range, Units & Resolution (Continued)
8-30
Monitor Screen Settings Displayed
Special Procedures
Preoperational Procedure
Page
Alarm Testing Procedure
Where To Go For Help
Chapter 9. Alarms
Introduction
Visual Alarms
Audible Alarms
Alarm Silence
Alarm Reset
Operator-Initiated Alarm Reset
Alarm Reset Terminates Alarm Silence
Alarm Volume Control
Alert Messages
Alarm Alert Messages
9-6
Page
9-8
Alarm Indicators
Normal
Alarm High
Alarm Med/Low
Vent Inop
Safety Valve
Alarm Silence
Chapter 10. Care and Maintenance
General Information
Cleaning
Sterilization
Steam Autoclaving
Chemical Disinfecting
Ventilator Exterior
Patient Circuit Support Arm
O2 Gas Supply Filter/Water Trap
Reusable Patient Circuit Tubing, Couplings, and Connectors
Reusable In-line Water Traps
Bacteria Filters
Removing and Replacing Inspiratory Bacteria Filter
Removing and Replacing Expiratory Bacteria Filter
Page
Periodic Maintenance
Schedule for Periodic Maintenance Frequency Component Maintenance
10-8
Removing Cooling Filter
Removing and Replacing O2 Input Filter Element
Removing and Replacing Internal Air Source Inlet Filter
Storage
Repairs
Chapter 11. Diagnostics
Entering Diagnostic Mode
Diagnostic Functions
Extended Self Test (EST)
Hardware
Software
User Config
Diagnostic Codes
Page
3XXX Extended Self Test
Diagnostic Codes and Descriptions (Continued)
Table 11-1: Diagnostic Codes and Descriptions (Sheet 2 of 4)
Code Description
11-8
Diagnostic Codes and Descriptions (Continued)
Table 11-1: Diagnostic Codes and Descriptions (Sheet 3 of 4)
Code Description
Information
Option
Self Test
Self-Test Hardware
Power On Self Test (POST)
Built-In Test
Restart
Page
Chapter 12. Technical Specifications
Breath Types
Modes
Volume Ventilation Settings, Ranges and
12-2
Pressure Control Ventilation Settings, Ranges and
Table 12-4: Pressure Control Ventilation Settings, Ranges & Resolution (Sheet 1 of 2)
Resolution is one unit unless otherwise noted (cmH2O is considered numerically equivalent to hPa).
Volume Ventilation Settings, Ranges & Resolution (Continued)
Setting Range
Non-Invasive Positive Pressure Ventilation Settings, Ranges and
Apnea Ventilation
12-4
Value Entry Message
Table 12-7: Pressure Control Ventilation Value Entry Reasonability Checks
Item Limit Exceeded Message
Table 12-6: Assist/Control Ventilation Value Entry Reasonability Checks
Pressure Control Ventilation
Patient Data Screen
Table 12-10: Patient Data Range, Resolution, Units & Accuracy (Sheet 1 of 2)
Non-Invasive Ventilation
Table 12-8: Non-Invasive Ventilation Value Entry Reasonability Checks
General Value Entry Reasonability Checks
Front Panel Keys
12-6
Patient Data Range, Resolution, Units & Accuracy (Continued)
Patient Data Display Range Units Resolution Accuracy
Table 12-10: Patient Data Range, Resolution, Units & Accuracy (Sheet 2 of 2)
Level Controls
Calculated Values from Expiratory Hold Maneuver
Table 12-14: Interface Ports
Interface Ports
Level Controls
Environmental
Table 12-17: Alarms (Sheet 1 of 2)
Environmental Protection
Alarms
Environmental Specifications
Connectors
Alarms (Continued)
Table 12-18: Connectors
Table 12-17: Alarms (Sheet 2 of 2)
Connectors
Filters
Table 12-21: AC Power & Battery Indicators
Measuring and Display Devices
AC Power and Battery Indicators
Filters
Leakage Current
Compliance and Approvals
Table 12-24: Power Requirements
Power Requirements
Leakage Current
Dimensions and Weights
Table 12-26: EMC Declaration - Emissions
Electromagnetic Compatibility Declaration
NOTE: The humidifier power connection is available only on 100-120VAC ventilators.
Dimensions and Weights
Immunity Test IEC 60601 Test
Level Electromagnetic Environment -
Table 12-27: EMC Declaration - Immunity
Level Compliance
Guidance
d
3.5 V
V
------- P=
d23
Table 12-28: EMC Declaration - Immunity
12-16
Table 12-29: EMC Declaration - Recommended Distances
V
Separation Distance According to Frequency of Transmitter (Meters)
------P=d12
------P=d23
Pneumatic System
12-18
Labels
Ventilator Labels
Label Description
Ventilator Labels (Continued)
Page
Chapter 13. Options and Accessories
Introduction
Table 13-1: Options and Accessories (Sheet 1 of 2)
accessories. Options and Accessories
Software Options
13-2
Reusable Items
Table 13-1: Options and Accessories (Sheet 2 of 2)
Disposable Items
Documentation
Oxygen Sensor Option
Assemble O2 Sensor Refer to Figure 13-1 for the following instructions.
MSA MiniOX O
Analytical Industries Inc.
Attaching the Sensor to the Ventilator
Warranty
O 2 Sensor Tee
Page
Page
Page
Page
Battery Capacity
Battery Charging
MAINS
Testi ng
Battery
Warranty
Oxygen Manifold Option
Kit Contents
Assembly Instructions
Page
Page
Replacement Parts:
Using the Manifold
To Use O2 Cylinders
Transport Use
Page
Graphics
Starting Graphics
Using Graphics
Replotting and Scrolling
Rescaling the Display
Page
Freeze Feature
Save and Overlay Features
Inspiratory Area
Page
Page
Communications Option (Com1)
Print Screen
Connecting to a Printer
Printing a Screen
Canceling a Print Screen Request
Print Screen Messages
VueLink Compatibility
Connecting to the VueLink Module
Configuring the VueLink Module
Configuration Overview
Changing modes
Preselecting Devices
Information Sent to the VueLink System
Available on CareNet
CMS message V200
13-34
Alarms
Available on CareNet
CMS message V200
Inops
Available on CareNet
CMS message V200
Analog Output (Chart Recorder)
Respironics V200 Ventilator Analog Output Port Pinout
Page
RS-232 Communications Option 2 (Com2)
RS-232 Configuration
Commands Transmitted to the Ventilator
Transmission of Data from the Ventilator
SNDA<CR>, Send Variable Length Ventilator Settings Report
Table 13-4: Ventilation Report (Sheet 2 of 10)
13-42
Table 13-4: Ventilation Report (Sheet 3 of 10)
Table 13-4: Ventilation Report (Sheet 4 of 10)
13-44
Table 13-4: Ventilation Report (Sheet 5 of 10)
Table 13-4: Ventilation Report (Sheet 6 of 10)
13-46
Table 13-4: Ventilation Report (Sheet 7 of 10)
Table 13-4: Ventilation Report (Sheet 8 of 10)
13-48
Table 13-4: Ventilation Report (Sheet 9 of 10)
Table 13-4: Ventilation Report (Sheet 10 of 10)
Page
Respiratory Mechanics Option
Accessing Respiratory Mechanics Data
Vital Capacity Maneuver
Page
MIP/P0.1 Maneuver
Page
Static C and R Maneuver
Page
Alarms and Error Messages
Page
13-60
Page
13-62
Page
13-64
Compliance (C) and Resistance (R) Computations
------------------------------------------------------------------------------------------------=
Q
C
Page
Page
Page
Trending Option
Accessing Trending Data
Page
Figure 13-34: Trending Screen
Summary of Trending Screen Information
Information type Description
Table 13-10: Summary of Trending Screen Information
Selecting Parameters for Display
Page
Using the Manual Rescale Function
Changing the Cursor Position
Selecting the Time Scale
Using the +2 Hrs/-2 Hrs buttons The +2 Hrs and 2 Hrs buttons shift all three
Using the Zoom Function
Using the Rescale Button
Using the Clear button
Alarms during Trending
PCMCIA Card
Trending Not Available
Table 13-12: Trending Data Specifications (Sheet 2 of 4)
13-80
Table 13-12: Trending Data Specifications (Sheet 3 of 4)
Table 13-12: Trending Data Specifications (Sheet 4 of 4)
Page
Flow-Trak Option
On the Screen
Breath Delivery
Inspiratory Hold
Respiratory Mechanics
Alarms
Respiratory Profile Monitor Interface (NICO- Esprit) Option
System Requirements
Communications
Hardware Setup
Page
Page
RS-232 Communications
Information Transferred from the Respiratory Profile Monitor to the Ventilator
Information Transferred from the
Trended NICO Data
Page
Page
Page
13-96
Troubleshooting
Troubleshooting
Neonatal Option
System Requirements
Changing Patient Types
Selecting Neonatal Patient Type
Heated Filter Test
13-100
Initial Neonatal Settings
Table 13-21: Initial Neonatal Patient Settings
Ventilation Settings Value Ranges
Alarm Settings Value Ranges
Percent Leak
Patient Leak Values
Speaking Mode Option
Warnings, Cautions, and Notes
Patient Preparation
Figure 13-58: Speaking Mode Sequence for Use
Settings
Starting Speaking Mode
Page
Page
Alarms
Disabled Alarms
Mode-Specific Alarms
Displayed Data
Trended Data
Speaking Mode Trended Data
Page
Page
Discontinue Speaking Mode
Page
Auto-Trak Sensitivity
Introduction
Compatible Patient Interfaces
Page
Page
Page
Turning Auto-Trak Off
Triggering and Cycling with Auto- Trak
Triggering
Cycling
Leak Detection and Compensation
Page
Appendix A. RS-232 Communications Protocol
Appendix A-2
Table A-1: Ventilation Report (Sheet 1 of 10)
Table A-1: Ventilation Report (Sheet 2 of 10)
Appendix A-4
Table A-1: Ventilation Report (Sheet 3 of 10)
Table A-1: Ventilation Report (Sheet 4 of 10)
Appendix A-6
Table A-1: Ventilation Report (Sheet 5 of 10)
Table A-1: Ventilation Report (Sheet 6 of 10)
Appendix A-8
Table A-1: Ventilation Report (Sheet 7 of 10)
Table A-1: Ventilation Report (Sheet 8 of 10)
Appendix A-10
Table A-1: Ventilation Report (Sheet 9 of 10)
Volume Control Ventilation Settings Report (VCVS)
Table A-1: Ventilation Report (Sheet 10 of 10)
Appendix A-12
Table A-2: Volume Control Ventilation Settings Report (Sheet 1 of 2)
Volume Control Ventilation Settings Report (Continued)
Table A-2: Volume Control Ventilation Settings Report (Sheet 2 of 2)
Appendix A-14
Pressure Control Ventilation Settings Report (PCVS)
Table A-3: Pressure Control Ventilation Settings Report (Sheet 1 of 3)
Pressure Control Ventilation Settings Report (Continued)
Table A-3: Pressure Control Ventilation Settings Report (Sheet 2 of 3)
Non-Invasive Positive Pressure Ventilation Settings Report (NPVS)
Non-Invasive Positive Pressure Ventilation Settings Report (Continued)
Table A-4: Non-Invasive Positive Pressure Ventilation Settings Report (Sheet 2 of 3)
Patient Data Report (PTDT)
Table A-5: Patient Data Report (Sheet 2 of 4)
Appendix A-20
Table A-5: Patient Data Report (Sheet 3 of 4)
Alarm Status Report (ALRM)
Table A-5: Patient Data Report (Sheet 4 of 4)
Appendix A-22
Alarm Status Report
Table A-6: Alarm Status Report (Sheet 1 of 3)
Description Example Range Comments
Alarm Status Report (Continued)
Description Example Range Comments
Table A-6: Alarm Status Report (Sheet 2 of 3)
Unrecognized Commands
Appendix B. Customer Service & Warranty
Customer Service
Warranty
Exclusions
Warranty Limits
Page
Appendix C. Alarm Testing Procedure
Setup
Alarm Testing Procedure
High Inspiratory Pressure Alarm Test
Low Volume Alarm Test
Low O2 Alarm Test
Power Fail Alarm Test
Alarm Testing Procedure
Apnea Alarm Test
Page
Glossary
Abbreviations
Page
Page
Definitions
Page
Page
Page
Page
Index Symbols
A
B
C
D
E
F
G
H
I
L
M
N
Symbols
P
R
S
T
U